A 38 years old man was admitted in our department as a donor in the context of living donor liver transplantation. The recipient was his 9 months old daughter with end stage liver disease due to biliary atresia. The patient had no major comorbidity. Pre-operative liver assessment was normal. Vascular anatomy showed a replaced left hepatic artery originating from the left gastric artery, a replaced right hepatic artery originating from the SMA and an arterial branch to segment IV. Portal and biliary anatomy were normal. The patient underwent a totally laparoscopic left lateral sectionectomy. The patient was placed in dorsal position. We used a laparoscopic approach with three 12 mm trocars and two 5 mm trocars. For the parenchymal transection we used CUSA, Thunderbeat, bipolar forceps and clips. A single Pringle maneuver (8 minutes) was used during the division of the left biliary duct in the hilar plate. The graft was extracted through a Pfannenstiel incision. No abdominal drain was placed. The patient had an uneventful postoperative course with discharge on day 7 and the liver was successfully transplanted in his daughter.